Good self-funded Plan reporting answers six questions every month: what you paid, what you owe but haven’t paid, how that compares to budget, which claims are driving it, who’s covered, and what’s coming. If your package doesn’t answer all six,...
Georgia districts rarely win teachers on salary. They win on what surrounds the paycheck. Teacher recruiting and retention benefits, meaning retirement, leave, voluntary coverage, and the service behind them, are the levers a district actually controls. Used well,...
PBM transparency is no longer something a self-funded employer has to win at the negotiating table. Federal law now requires pharmacy benefit managers to report drug-level detail to the Plan, pass rebates through, and submit to audit. Most of it phases in later, which...
District open enrollment execution is the work that happens while the window is open: staffing the phones, reaching people who aren’t at a desk, and solving problems the same day they surface. For the 2027 Plan Year, Open Enrollment for Georgia K12 districts...
A stop loss Specific Deductible is the dollar amount your Plan pays on one person’s claims in a contract year before the stop loss carrier reimburses you. It’s the single number that sets how much claim volatility your budget absorbs, and it’s...
SHBP Enrollment Support: What Georgia Districts Can Add on Top of the State Plan SHBP enrollment support is the service layer a district builds around the State Health Benefit Plan, not a change to the Plan itself. The State sets every Plan Option, every rate, and...
